Organization Active NPI

Mature Matters, LLC

  • Home Health Agency
  • Detroit, MI
National Provider Identifier
1891796033
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MATURE MATTERS, LLC
Practice address
18927 Dequindre St
Detroit, MI 48234-1205
Phone
(313) 610-5830
Fax
(313) 592-1530
NPI assigned
Aug 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Betty J Ingram, RN
Title
Coo
Phone
(313) 610-5830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MI Primary

Addresses

Primary practice location

18927 Dequindre St
Detroit, MI 48234-1205

Mailing address

18927 Dequindre St
Detroit, MI 48234-1205
Phone (313) 610-5830

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1891796033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18927 DEQUINDRE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341205",
            "telephone_number": "313-610-5830",
            "fax_number": "313-592-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18927 DEQUINDRE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341205",
            "telephone_number": "313-610-5830",
            "fax_number": "313-592-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATURE MATTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "313-610-5830",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.